| Advanced Physical Medicine Center, Llc | |
|
222 Bergen Blvd Ste 8 Fairview NJ 07022 | |
| (201) 945-1156 | |
| (201) 945-0012 |
| Full Name | Advanced Physical Medicine Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 222 Bergen Blvd, Fairview, New Jersey |
| Authorized Official Name and Position | Michael Arber (DIRECTOR OWNER) |
| Authorized Official Contact | 2019451156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Physical Medicine Center, Llc 222 Bergen Blvd Ste 8 Fairview NJ 07022 Ph: (201) 945-1156 | Advanced Physical Medicine Center, Llc 222 Bergen Blvd Ste 8 Fairview NJ 07022 Ph: (201) 945-1156 |
| NPI Number | 1043393085 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 10/18/2007 |
| Medicare PECOS PAC ID | 5496667198 |
|---|---|
| Medicare Enrollment ID | O20031103000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043393085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | David C Berk |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1831275940 PECOS PAC ID: 4688656192 Enrollment ID: I20040607000858 |
| Provider Name | Ricardo Francisco Africa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780608265 PECOS PAC ID: 8628042454 Enrollment ID: I20040827000028 |
| Provider Name | George Dixon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548341464 PECOS PAC ID: 3274598719 Enrollment ID: I20041124000294 |
| Provider Name | Frederick D Gangemi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356446108 PECOS PAC ID: 5193775161 Enrollment ID: I20050127000229 |
| Provider Name | Ryan T Finucane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306984075 PECOS PAC ID: 8628155546 Enrollment ID: I20080402000699 |
| Provider Name | Robert B Kelly |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1922202738 PECOS PAC ID: 1254472640 Enrollment ID: I20100107000326 |
| Provider Name | Michael E Arber |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548343585 PECOS PAC ID: 1850203563 Enrollment ID: I20101122001160 |
| Provider Name | Eric R Bresemann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205959855 PECOS PAC ID: 2466742911 Enrollment ID: I20160613000585 |
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